Clarence R Hixon M.D., P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

037233 Issued in GA

Legal business name

CLARENCE R HIXON M.D., P.C.

Practice address

285 Boulevard NE Ste 440
Atlanta, GA 30312-4213

Phone

(404) 265-3333

Fax

(404) 265-3334

NPI assigned

Jan 17, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Clarence R Hixon

Title

Owner

Phone

(404) 265-3333

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1200528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200528000000",
    "number": "1275719460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 BOULEVARD NE STE 440",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303124213",
            "telephone_number": "404-265-3333",
            "fax_number": "404-265-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 BOULEVARD NE STE 440",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303124213",
            "telephone_number": "404-265-3333",
            "fax_number": "404-265-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARENCE R HIXON M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-17",
        "last_updated": "2008-01-17",
        "status": "A",
        "authorized_official_last_name": "HIXON",
        "authorized_official_first_name": "CLARENCE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-265-3333"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": "037233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00565012B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pamela A Clanton, MD
• Scott Lee Clanton II
• Santissa Tenise Clapp, PMHNP-BC
• Clarence Home Care LLC
• Clarence Home Care LLC
• Denise Evette Claridy, NP
• Clarity Counseling Atlanta LLC
• Clark Atlanta Healthcare Services
• Clark Laser & Cosmetic Dermatology, LLC
• David Richard Clark Stuart

• Specialist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.